CTR060124_COI_2026-2-1_Cyber__2026-4-1_CGL_AL_WC.pdf

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77707 07070

00777 61616

04557 11107

74737 02632

65552 07662

20575 25073

00070 67377

52653 22210

71437 77532

57672 20765

14023 02626

57107 62570

26010 25110

07531 50327

71204 54077

24011 57027

45120 76727

24203 57720

00777 77770

70007 07007

77777

77707 07070

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11545 60007

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61131 07133

22724 31730

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07300 00702

33372 43162

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72531 72111

07022 23735

21720 11070

23327 25316

20000 77756

16335 17655

40777 77770

70007 07007

C e rt if ic a te N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

08/11/2025

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

PRODUCER

Aon Risk Insurance Services West, Inc.

Denver CO Office 200 Clayton Street, Suite 800 Denver CO 80206 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 39217QBE Insurance CorporationINSURER A:

20079National Fire & Marine Ins CoINSURER B:

20443Continental Casualty CompanyINSURER C:

20427American Casualty Co. of Reading PAINSURER D:

20494Transportation Insurance Co.INSURER E:

INSURER F:

FAX

(A/C. No.): (800) 363-0105

The Continental Insurance Company 35289

CONTACT

NAME:

Fidelity National Information Serv. Inc.

and all subsidiaries 347 Riverside Ave Jacksonville FL 32202 USA

COVERAGES CERTIFICATE NUMBER: 570114894212 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.

NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY

HAVE BEEN REDUCED BY PAID CLAIMS.

Limits shown are as requested

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

(MM/DD/YYYY)

SUBR

WVD

INSR

LTR

ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

X

X

X

GEN'L AGGREGATE LIMIT APPLIES PER:

$2,000,000

$2,000,000

$10,000

$2,000,000

$4,000,000

$4,000,000

$10,000,000Policy Aggregate Limit

C 04/01/2025 04/01/2026Y 7036257993

PRO-

JECT

OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED AUTOS

ONLY

NON-OWNED

AUTOS ONLY

BODILY INJURY ( Per person)

PROPERTY DAMAGE

(Per accident)

X

BODILY INJURY (Per accident)

$2,000,000C 04/01/2025 04/01/2026Y Y COMBINED SINGLE LIMIT

(Ea accident)

BUA 7036257962

EXCESS LIAB

X OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

$25,000,000

$25,000,000

$10,000

04/01/2025UMBRELLA LIABF 04/01/2026Y 7018146359

RETENTIONX

X

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT $1,000,000

X OTH-

ER

PER STATUTED 04/01/2025 04/01/2026

AOS except CA

WC7036292615E 04/01/2025 04/01/2026

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE

OFFICER/MEMBER EXCLUDED? N / A

Y

N

AZ,MA,OR,WI

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

WC7036257976

Cyber/E&O/AggregateQPL2415139 02/01/2025 02/01/2026 Claims Made

Cyber LiabilityA

SIR applies per policy terms & conditions

$10,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Re: Contract: CG 2010 10/01CG 2010 07/04CG 2010 04/13CG 2010 12/19CG 2026 12/19. CG 2404 05/09, CG 2404 12/19; Contract:

Division Name: ADES Contract ID: CTR060124; See Addendum for Excess Cyber and Excess E&O policies. Certificate Holder, State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are included as Additional Insured in accordance with the policy provisions of the Automobile Liability policy. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Workers Compensation, Automobile Liability and Excess Liability policies.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEThe State of Arizona & the Arizona Dept of Economic Security C/O: myCOI P.O. Box#501970, 8710 Bash Street Indianapolis IN 46256 USA

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE

LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSUREDAGENCY

See Certificate Number:

See Certificate Number:

570114894212

570114894212

Aon Risk Insurance Services West, Inc.

570000098648

ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

Great American Spirit Ins Co

Everest National Insurance Co

INSURER

INSURER

INSURER

INSURER

G

H

INSURER(S) AFFORDING COVERAGE

Page _ of _

10120

33723

NAIC #

Fidelity National Information Serv. Inc.

TYPE OF INSURANCE

POLICY NUMBER LIMITS

EXCESS LIABILITY

G EXC5867053 04/01/2025 04/01/2026

H XC4EX00550251 04/01/2025 04/01/2026

WORKERS COMPENSATION

D WC7036292601 04/01/2025 04/01/2026

C WCE7036298219 04/01/2025 04/01/2026

OTHER

B Cyber Liability - Excess 42EPP15308102 02/01/2025 02/01/2026

Aggregate $12,500,000

Aggregate $12,500,000

Each Occurrence

$12,500,000

Cyber/E&O/Aggr egate

$10,000,000

12.5pox25x25

12.5pox25x25

CA

OH

Claims Made 10 x10

N/A

N/A

ADDL

INSD

INSR

LTR

SUBR

WVD

POLICY

EFFECTIVE

DATE

(MM/DD/YYYY)

POLICY

EXPIRATION DATE

(MM/DD/YYYY)

SIR applies per policy terms & conditions

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Excess E&O, Cyber - 2/1/2025 - 2/1/2026

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE

LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSUREDAGENCY

See Certificate Number:

See Certificate Number:

Aon Risk Insurance Services West, Inc.

570000098648

570114894212

570114894212

Page _ of _

Fidelity National Information Serv. Inc.

All Policies are Claims Made

Underwriting Company - Policy Number - Aggregate Limit(s)

02 - Indian Harbor Insurance Company - MTE003915712 - $10M x $20M

03 - Lloyd's Underwriter Syndicate No. 4711 ASP - FSCEO2502015 - $10M x $30M

04 - Columbia Casualty Company - 768772491 - $10M x $40M

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

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INSURED

CNA PARAMOUNT

Renewal 04/01/2025

FIDELITY NATIONAL INFORMATION SERVICES, INC.

601 Riverside Avenue

Jacksonville, FL 32204

7036257993 04/01/2025 04/01/2026

AON RISK SERVICES CENTRAL INC 070048

100 N 18TH ST 16TH FL

PHILADELPHIA, PA 19103

(215)255-2000

SOUTHERN RMO

2435 COMMERCE AVE, BLDG 2200

DULUTH, GA 30096

(800)537-6388

A Claim Client Services Manager has been assigned to you and will be contacting you to discuss CNA Claim Services.

Claim Service Manager: John Taylor, at CNA e-mail address John.Taylor2@cna.com or call 617-994-4325.

Copyright CNA All Rights Reserved.

ABCDEFGHI

JKLMN

Effective Date:

Insured Name:

Policy Number: Policy Period: �

Producer's Information:

Producer Code:

CNA Branch Number:

CNA Branch Name and Address:

Thank you for choosing CNA!

With your CNA Paramount General Liability policy, you have insurance coverage tailored to meet the needs of your modern business. The international network of insurance professionals and the financial strength of CNA, rated �A� by A.M. Best, provide the resources to help you manage the daily risks of your organization so that you may focus on what�s most important to you.

Claim Services � There When You Need Us

Risk Control Services � Help Avoid A Claim Before It Occurs

As a CNA policyholder, you have access to certified risk control professionals, risk mitigation programs and online resources to help identify and manage exposures that may disrupt your operation. We collaborate with business leaders to develop customized programs to assist you in safeguarding your assets and improving the bottom line.

To learn how our award-winning Risk Control services can help your business, please call (866) 262-0540, email us at riskcontrolwebinfo@cna.com or visit www.cna.com/riskcontrol.

When it comes to providing the coverage, service and resources paramount to your business success � we can show you more.

7036257993

CONTINENTAL CASUALTY COMPANY 04/01/2025

FIDELITY NATIONAL INFORMATION SERVICES, INC.

Technology General Liability Extension Endorsement

CNA74872XX (1-15) Policy No:

Page 14 of 14 Endorsement No:

Effective Date:

Insured Name:

Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission.

ABCDEFGHI

JKLMN

A. is included within the General Aggregate Limit as described in LIMITS OF INSURANCE; and

B. applies excess over any valid and collectible property insurance available to the Insured, including any deductible applicable to such insurance; the Other Insurance condition is changed accordingly.

20. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS

If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured�s Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure.

21. WAIVER OF SUBROGATION - BLANKET

Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following:

The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of:

1. the Named Insured�s ongoing operations; or

2. your work included in the products-completed operations hazard.

However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement:

1. is in effect or becomes effective during the term of this Coverage Part; and

2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim.

All other terms and conditions of the Policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy.

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Y¤ Bd ¥1

CONTINENTAL CASUALTY COMPANY 04/01/2025

FIDELITY NATIONAL INFORMATION SERVICES, INC.

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

Additional Insured - Owners, Lessees Or Contractors - Completed Operations

CG 20 37 12 19 Policy No:

Page 1 of 2 Endorsement No:

Effective Date:

Insured Name:

Copyright Insurance Services Office, Inc., 2018

ABCDEFGHI

JKLMN

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s)

CONTINENTAL CASUALTY COMPANY 04/01/2025

FIDELITY NATIONAL INFORMATION SERVICES, INC.

1789 West Jefferson Street Phoenix AZ 85057 USA

Additional Insured - Owners, Lessees Or Contractors - Completed Operations

CG 20 37 12 19 Policy No:

Page 2 of 2 Endorsement No:

Effective Date:

Insured Name:

Copyright Insurance Services Office, Inc., 2018

ABCDEFGHI

JKLMN

Location And Description Of Completed Operations

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II � Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products-completed operations hazard.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III � Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

0(&1 %*&!& *��#$$&. %*��#$$&.&"2*��"- (!*��"()� ,+2#3 *������������������������

#������ ��� ��4$���� � ���'�� � &�� 2�&��$��5 �� �� �&�(� �6�!�5 (��� 6� �&�(� �� &� "������ ����7�

1���� �

�!������������ ������� 6� &� ���� ��� �� &� �����(����

8� & ���'�� � &� '����� �� ������9� ��� �&�(� �� &� 2�&��$�� �6�!�5 &� #��$��� (��!�� ��� ���& �� ����!��� &� #��$��� ��� &�!� ������ �$�& '����� �� ������9� ��� 6���$�� �� '����� � &� #��$��� ��:�� ��� ��;$�� �� ������

�%7

��� � &�� ���� ��� ����� ���� �� &� ������ ������ $��&�����7

%&�� ���������� 5 (&��& ����� � '�� �� ��� �� ��� � ��&��� � &� ������ ���$�� 6� &� ������� �� #��$����5 �:�� ����� �� &� ����� �!� �� � �� ���� ������ � &� &�$� � � �� �� ���� ������5 $����� ��� &�� ����� �!� �� � �� �&�(� 6���(5 ��� �<'���� ����$���� �� (� & ���� ������7

Workers Compensation And Employers Liability Insurance

Policy Endorsement

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

The premium charge for the endorsement is reflected in the Schedule of Operations.

All other terms and conditions of the policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.

WC 7 36292615

Endorsement No: 41; Page: 1 of 1 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606

Form No: WC 00 03 13 (04-1984) Endorsement Effective Date:

Policy No:

Policy Effective Date: 04/01/2025Endorsement Expiration Date:

Copyright 1983 National Council on Compensation Insurance.